Lifescan Minnesota Stand Up Mri LLC
NPI #1134122054 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1134122054
- Entity Type
- Organization
- Organization Name
- Lifescan Minnesota Stand Up Mri LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIFESCAN MINNESOTA STAND UP MRI LLC
- Primary Specialty
- Clinic/Center - Magnetic Resonance Imaging (MRI)
- Enumeration Date
- May 24, 2005
- Last Updated
- Jul 7, 2008
Practice Location
- Address
- 5023 EXCELSIOR BLVD
- Address 2
- STE 9B
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-3013
- Phone
- (952) 920-8860
Authorized Official
- Name
- MRS. MICHELLE DOUGLAS
- Title
- CREDENTIALING MANAGER
- Phone
- (502) 403-1401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI) |
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